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General NPI Number Information
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NPI Number | 1780976613
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Entity Type | Organization
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Legal Business Name | ADVANCED ALLERGY AND ASTHMA CARE OF WESTERN NEW YORK P.C.
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 333 INTERNATIONAL DR SUITE B1
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5726
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Country | US
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Telephone | 716-633-5277
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Fax | 716-633-5270
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Provider Business Mailing Address
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Address Line | 333 INTERNATIONAL DR SUITE B1
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5726
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Country | US
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Telephone | 716-633-5277
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Fax | 716-633-5270
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES CHARLES CUMELLA
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Credential | M.D.
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Telephone | 716-633-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 140792
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License Number State | NY
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